community-engaged scholarship for health collaborative welcome!

Community-Engaged Scholarship for Health

Collaborative

WELCOME!


Collaborative Why We are Here

“Many untenured faculty find they must chose between doing the work that would contribute to career advancement and doing the work of the institution in linking with communities and educating students.”

Ron Richards, Building Partnerships: Educating Health Professionals for the Communities they Serve, 1996

A university’s values are most clearly described by its promotion and tenure policy and by the criteria used to evaluate faculty members

Conrad Weiser et al, Scholarship Unbound for the 21st Century, 2000


Collaborative

Community Engagement

An Essential Strategy

Health professional educationHealth workforce diversityResearch relevance and translation into practiceAccess to health careEliminating health disparitiesHealth and economic vitality of communities

Faculty roles are changing but the RPT system has not kept pace...


Collaborative Meeting Goals

• Shared understanding of project

• Knowledge about CES & institutional change

• Culture of collaboration & shared learning

• Team action plans

• Collaborative-wide action plans

• Consensus on documentation, learning & assessment strategies


Collaborative Alphabet Soup

• CCPH

• CES

• FIPSE

• P & T

• RPT/RTP

• etc.


Collaborative

Meeting AgendaDay One

Framed around the Kotter model

• Project context and background • The compelling case and context for CES• Where are we now?• CES toolkit• Where do we want to be?• How are we going to get there?• Decisions on work groups• Team planning for the year ahead• Reflection


Collaborative

Meeting AgendaDay Two

Framed around the Kotter model

• Work group discussions

• Team reports

• Profession-specific opportunities

• Project documentation, learning & assessment

• Opportunities for dissemination

• Reflection & evaluation


Collaborative Other Items

• Ground rules• Meeting resources available• Project staff roles• Board for messages and questions• Contact list - please make corrections• Evaluation form

Any questions at this point?


Collaborative

Project Context and Background


Collaborative History & Context

1997: Consistent theme from the start of CCPH 1998: Academic health center study

Calleson D, Seifer SD and Maurana CA. (2000) Forces Affecting Community Involvement of AHCs: Perspectives of Institutional and Faculty Leaders. Acad Med. 77;72-81.

2000: Commissioned paper Maurana CA, Wolff M, Beck BJ, Simpson DE. (2001) Working with our communities:

moving from service to scholarship in the health professions. Educ Health;14(2):207-20.

2002: CCPH Fellow Diane Calleson 2004: Kellogg-funded Commission and Toolkit 2004: FIPSE-funded Collaborative


Collaborative Commission’s

Charge

•To provide national leadership for creating a more supportive culture and reward system for health professional faculty involved in community-engaged scholarship

•To develop and disseminate a set of tools that faculty and health professional schools can use to advance community-engaged scholarship


Collaborative Commission

Members

Alex Allen, Isles, Inc.,Trenton, NJLarry Green, Centers for Disease Control and Prevention, Atlanta, GA

Barbara Brandt, University of Minnesota Academic Health Center Jessie Gruman, Center for the Advancement of Health, DC Marshall Chin, University of Chicago School of Medicine, IL Susan Gust, Phillips Neighborhood Healthy Housing Collaborative, Minneapolis, MN

Jay Chunn, National Center for Health Behavioral Change, Morgan State University, Baltimore, MD Laura Leviton, Robert Wood Johnson Foundation, Princeton, NJ Amy Driscoll, California State University-Monterey Bay

Alonzo Plough, Public Health-Seattle & King County, Seattle, WA Eugenia Eng, University of North Carolina-Chapel Hill



Members

Shobha Srinivasan, National Institute for Environmental Health Sciences, Research Triangle Park, NC

Clyde Evans, Association of Academic Health Centers, DC

Susan Tortolero, Prevention Research Center, University of Texas Health Science Center at Houston

Elmer Freeman, Center for Community Health Education Research and Service, Inc, Boston, MA

Pat Wahl, University of Washington School of Public Health and Community Medicine, Seattle, WA

Charles Glassick, Carnegie Foundation for the Advancement of Teaching, Spartanburg, SC Terri Wright, W.K. Kellogg Foundation, Battle Creek, MI


Collaborative Many Terms• Community engagement• Civic engagement• Community-based learning• Service-learning• Practice-based learning• Action research• Community-based research• Community-based participatory research• Participatory action research• Practice-based research• Academic public health practice• Community-based clinical care • Community-oriented primary care• Community service• Outreach• Public health practice


Collaborative Definitions & Frameworks

See articles and bibliography in your binders

• Ernest Boyer - defining scholarship

• Charles Glassick - assessing scholarship

• Robert Diamond - changing RPT systems

• John Kotter - changing organizations


Collaborative

Working Definitions

Commission, 2004

• Community engagement is the application of institutional resources to address and solve challenges facing communities through collaboration with these communities

• Scholarship is teaching, discovery, integration, application and engagement that has clear goals, adequate preparation, appropriate methods, significant results, effective presentation, and reflective critique that is rigorous and peer-reviewed

• Community-engaged scholarship is scholarship that involves the faculty member in a mutually beneficial partnership with the community


Collaborative Challenges in Current RPT

System• Time involved in developing partnerships• Collaborative and interdisciplinary nature• Expectations of funding agencies • Funding and journal hierarchy • Diverse dissemination pathways and products• Diverse measures of quality, productivity and

impact • Lack of peer review • Limited opportunities for involvement of community

partners


Collaborative Challenges in Current

RPT System from action planning documents

• “Scholarship is valued most and service least for promotion decisions”

• “Civic engagement is least valued if measured by reward systems such as salary increases, P&T”

• “The perception is that what is most valued is traditional, externally funded research”

• “Funded research and patents and technology - all else must be wrapped in this value”



Recommendations

For health professional schools:

• Adopt and promote a definition of scholarship that includes and values CES

• Adopt RPT policies that reflect this new definition of scholarship

• Ensure that community partners are meaningfully involved in the RPT process



Recommendations

For health professional schools:

• Educate and prepare RPT committee• Invest in faculty recruitment and retention • Advocate for increased extramural support • Take a leadership role on campus



Recommendations

For national associations of health professional schools:

• Adopt and promote a definition of scholarship that explicitly includes CES

• Support member schools that recognize and reward CES

• Advocate for increased extramural support



Recommendations

Recognizing that many products of CES are not currently peer-reviewed, a national board should be established to facilitate a peer review process


Collaborative Two Major Goals

• Increase capacity for CES in participating schools

• Increase capacity for CES in health professional schools nationally


Collaborative Objectives

• Increase capacity for CES in participating schools– assess each school’s capacity– increase knowledge and support for CES

among administrators and faculty– align RPT policies and practices with CES– share experiences, expertise, lessons learned


Collaborative Objectives

• Increase capacity for CES in health professional schools nationally– assess capacity for CES within the

associations– increase knowledge and support for CES

among association staff, leadership, members– share experiences, expertise, lessons learned


Collaborative Outcomes

in proposal

• Significant changes in RPT policies and practices to recognize and reward CES

• Peer review board established

• Each association has taken a substantive action to support CES



from action planning documents

• RPT guidelines recognize CES as scholarship (vs. service) - Case Western

• CES is included in RPT documents and recognized as valued component - U Cinn

• Create meaningful ways to document CES for P&T decisions - UNC-CH

• Clear definitions and metrics for RPT - Loma Linda




• Define tenure criteria for CES - UMW

• Portfolios incorporate CES - U Minn

• Peer review process in place - Vanderbilt

• Increase # of faculty who are promoted based on CES - Auburn

• Double faculty participation in CE - Indiana

• Mentorship in place for CE faculty - U CO




• “Community-based teaching and research will be strengthened”

• “We will be more in tune with community needs and priorities - we will be a more responsive institution”

• “The diversity of our community activities will be broadened”

• “Terminology will be clarified and used appropriately”




• “We will serve as a resource for other schools making this transition”

• “A new language and shared values for social responsibility by faculty, students, staff”

• “University will tenure faculty under criteria for community-engaged scholarship

• We can have an impact on public health without sacrificing our positions


Collaborative The Role of the Collaborative


• “Being part of a national project provides credibility to our efforts”

• “Information gained from models at other schools will be helpful”

• “We will broaden our perspective on CES”• “There will be opportunities to share what does

and does not work”• “Exposure to colleagues from other institutions will

help us jump-start our own process”


Collaborative Work Plan

Fall 2004 - Fall 2007

• Teams develop & implement action plans

• Work groups address cross-cutting issues

• Project staff provide support to teams and work groups

• Teleconferences and web conferences

• Annual meetings

• Assessment and documentation

• Dissemination


Collaborative Establish need for change & urgency

Kotter Step #1

• Why is recognizing & rewarding CES important for your school/university?– What are the compelling reasons?

• Why is recognizing & rewarding CES important to your profession/discipline?– What are the compelling reasons?

• What are the consequences of the system NOT changing?


Collaborative

Thanks for completing your evaluation forms!


Collaborative

National AssociationsBriefings under tab 4

American Association of Colleges of Nursing*American Association of Colleges of Pharmacy*American Dental Education Association*Association of Academic Health Centers* Association of American Medical Colleges*Association of Schools of Allied Health ProfessionsAssociation of Schools of Public Health*Association of University Programs in Health AdministrationNational Organization of Nurse Practitioner Faculty*

Other Associations? Accrediting bodies?

*conversations have already begun with these associations


Collaborative Possibilities

• Focus of committee or task force• Conference theme• Conference presentations and workshops• Articles in newsletters• Theme issue of journal• Dedicated section of website• Teleconferences and web-conferences• Etc.


Collaborative

Discussions by Professions

Allied Health - Dentistry - Medicine - Nursing

Pharmacy - Public Health - Provost

• Determine current involvement in the profession• Review association briefing (tab 4) • Identify strategic opportunities

– including other associations, accrediting bodies

• Document main points


Collaborative

Documentation, Learning &

Assessment

• Annual self-assessment• Annual update of plan • 6 month progress reports - 9/30/05

Confidentiality


Collaborative

Learning & Communications

• Topics for teleconferences & webconferences• Project website• Binder resources• Project calendar• Listservs

– Project as a whole– Work groups– Community-engaged scholarship listserv

• Conference Calls• Logo


Collaborative Standard Byline

The Community-Engaged Scholarship for Health Collaborative is a project of Community-Campus Partnerships for Health funded by a grant from the Fund for the Improvement of Postsecondary Education in the US Department of Education


Collaborative Dissemination

• Publications– Policy– Collaborative-wide ideas in this first year– Opportunities

• Presentations– Policy– Collaborative-wide ideas in this first year– Opportunities

community-engaged scholarship for health collaborative welcome!

Documents

health disparities health

collaborative slide

health collaborative

health care

health professionals

health professions

reflection slide

background slide